Chapter 388-78A WAC: Boarding Home Licensing regulations

Chapter 388-78A WAC Boarding Home Licensing

Regulations

Based on the rules last updated 10/12/2010

Washington State Department of Health Construction Review Services 111 Israel Rd SE Tumwater, WA 98501

PO Box 47852 Olympia, WA 98504

doh.crs tel. 360-236-2944

Boarding Home Licensing Regulations Table of Contents

Table of Contents

Table of Contents ............................................................................................................................. 3 388-78A-2010 Purpose ................................................................................................................... 9 388-78A-2020 Definitions .............................................................................................................. 9 388-78A-2030 Applicability ......................................................................................................... 17 388-78A-2040 Other requirements. .............................................................................................. 18 388-78A-2050 Resident characteristics ........................................................................................ 18 388-78A-2060 Preadmission assessment...................................................................................... 18 388-78A-2070 Timing of preadmission assessment..................................................................... 18 388-78A-2080 Qualified assessor................................................................................................. 19 388-78A-2090 Full assessment topics. ......................................................................................... 19 388-78A-2100 On-going assessments. ......................................................................................... 21 388-78A-2110 Resident participation in assessments. ................................................................. 21 388-78A-2120 Monitoring residents' well-being.......................................................................... 21 388-78A-2130 Service agreement planning. ................................................................................ 21 388-78A-2140 Negotiated service agreement contents. ............................................................... 22 388-78A-2150 Signing negotiated service agreement. ................................................................. 23 388-78A-2160 Implementation of negotiated service agreement................................................. 23 388-78A-2170 Required boarding home services. ....................................................................... 24 388-78A-2180 Activities. ............................................................................................................. 24 388-78A-2190 Activities of daily living....................................................................................... 24 388-78A-2200 Health support services ........................................................................................ 26 388-78A-2202 Respite -- General ............................................................................................... 26 388-78A-2204 Respite -- Information ......................................................................................... 26 388-78A-2206 Respite -- Assessment ......................................................................................... 27 388-78A-2208 Respite -- Negotiated service agreement ............................................................ 27 388-78A-2210 Medication services .............................................................................................. 27 388-78A-2220 Prescribed medication authorizations................................................................... 27 388-78A-2230 Medication refusal ................................................................................................ 28 388-78A-2240 Nonavailability of medications ............................................................................ 28

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388-78A-2250 Alteration of medications ..................................................................................... 28 388-78A-2260 Storing, securing, and accounting for medications .............................................. 28 388-78A-2270 Resident controlled medications .......................................................................... 29 388-78A-2280 Medication organizers .......................................................................................... 29 388-78A-2290 Family assistance with medications and treatments............................................. 29 388-78A-2300 Food and nutrition services .................................................................................. 30 388-78A-2305 Food sanitation ..................................................................................................... 31 388-78A-2310 Intermittent nursing services ................................................................................ 32 388-78A-2320 Intermittent nursing services systems................................................................... 32 388-78A-2330Tube feeding.......................................................................................................... 33 388-78A-2340 Resident-arranged services................................................................................... 33 388-78A-2350 Coordination of health care services .................................................................... 34 388-78A-2360 Adult day services ................................................................................................ 34 388-78A-2370 Dementia care....................................................................................................... 35 388-78A-2380 Restricted egress................................................................................................... 35 388-78A-2390 Resident records ................................................................................................... 37 388-78A-2400 Protection of resident records............................................................................... 37 388-78A-2410Content of resident records.................................................................................... 37 388-78A-2420 Record retention ................................................................................................... 38 388-78A-2430 Resident review of records ................................................................................... 39 388-78A-2440 Resident register ................................................................................................... 39 388-78A-2450 Staff ...................................................................................................................... 39 388-78A-2460 Quality assurance committee................................................................................ 41 388-78A-2461 Background check -- General ............................................................................. 42 388-78A-2462 Background check -- Washington state -- Who is required to have .................. 42 388-78A-2463 Background check -- National fingerprint checks -- Who is required to have .. 43 388-78A-2464 Background check -- Process .............................................................................. 43 388-78A-2465 Background check -- Results .............................................................................. 43 388-78A-2466 Background check -- Valid for two years ........................................................... 43 388-78A-2467 Background check -- Sharing by health care facilities ....................................... 44 388-78A-2468 Background check -- Conditional hire -- Pending results ................................. 44 388-78A-2469 Background check -- Disclosure statement......................................................... 44 388-78A-2470 Background check -- Employment-disqualifying information ........................... 45

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388-78A-2471 Background check -- Confidentiality -- Use restricted -- Retention ................ 45 388-78A-2474 Training and home care aide certification ............................................................ 46 388-78A-2480 Tuberculosis -- Testing -- Required................................................................... 46 388-78A-2481 Tuberculosis -- Testing method -- Required...................................................... 46 388-78A-2482 Tuberculosis -- No testing................................................................................... 47 388-78A-2483 Tuberculosis -- One test ...................................................................................... 47 388-78A-2484 Tuberculosis -- Two step skin testing ................................................................. 47 388-78A-2485 Tuberculosis -- Positive test result ...................................................................... 47 388-78A-2486 Tuberculosis -- Negative test result .................................................................... 47 388-78A-2487 Tuberculosis -- Declining a skin test................................................................... 47 388-78A-2488 Tuberculosis -- Reporting -- Required............................................................... 48 388-78A-2489 Tuberculosis -- Test records................................................................................ 48 388-78A-2490 Specialized training for developmental disabilities.............................................. 48 388-78A-2500 Specialized training for mental illness ................................................................. 48 388-78A-2510 Specialized training for dementia......................................................................... 48 388-78A-2520 Administrator qualifications -- General .............................................................. 49 388-78A-2521 Certification of training ........................................................................................ 49 388-78A-2522 Administrator qualifications -- Prior to 2004...................................................... 49 388-78A-2523 Administrator qualifications -- NH administrator license................................... 49 388-78A-2524 Administrator qualifications -- Certification of training, and three years experience ..................................................................................................................................... 49 388-78A-2525 Administrator qualifications -- Associate degree, certification of training, and two years experience..................................................................................................................... 50 388-78A-2526 Administrator qualifications -- Bachelor's degree, certification of training, and one year experience....................................................................................................................... 50 388-78A-2527 Administrator qualifications -- Five years experience ........................................ 51 388-78A-2530 Qualifying administrator training program .......................................................... 51 388-78A-2540 Administrator requirements.................................................................................. 51 388-78A-2550 Administrator training documentation ................................................................. 52 388-78A-2560 Administrator responsibilities .............................................................................. 52 388-78A-2570 Notification of change in administrator................................................................ 52 388-78A-2580 Use of home health/home care ............................................................................. 52 388-78A-2590 Management agreements -- General ................................................................... 53

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388-78A-2592 Management agreements -- Licensee.................................................................. 53 388-78A-2593 Management agreements -- Terms of agreement................................................ 54 388-78A-2594 Management agreements -- Department review ................................................. 54 388-78A-2595 Management agreements -- Resident funds ........................................................ 54 388-78A-2600 Policies and procedures ........................................................................................ 55 388-78A-2610 Infection control ................................................................................................... 56 388-78A-2620 Pets ....................................................................................................................... 56 388-78A-2630 Reporting abuse and neglect................................................................................. 57 388-78A-2640 Reporting significant change in a resident's condition......................................... 57 388-78A-2650 Reporting fires and incidents................................................................................ 57 388-78A-2660 Resident rights ...................................................................................................... 58 388-78A-2665 Resident rights -- Notice -- Policy on accepting medicaid as a payment source58 388-78A-2670 Services by resident for boarding home ............................................................... 58 388-78A-2680 Electronic monitoring equipment -- Audio monitoring and video monitoring... 59 388-78A-2690 Electronic monitoring equipment -- Resident requested use .............................. 59 388-78A-2700 Safety measures and disaster preparedness. ......................................................... 60 388-78A-2710 Disclosure of services........................................................................................... 61 388-78A-2720 Timing of disclosure............................................................................................. 62 388-78A-2730 Licensee's responsibilities .................................................................................... 62 388-78A-2732 Liability insurance required -- Ongoing.............................................................. 63 388-78A-2733 Liability insurance required -- Commercial general liability insurance or business liability insurance coverage............................................................................................ 63 388-78A-2734 Liability insurance required -- Professional liability insurance coverage........... 63 388-78A-2740 Licensee qualifications ......................................................................................... 63 388-78A-2750 Application process .............................................................................................. 63 388-78A-2760 Necessary information.......................................................................................... 64 388-78A-2770Change in licensee/change of ownership -- When change in licensee is required ....................................................................................................................................................... 64 388-78A-2773 Change in licensee/change of ownership -- When change in licensee not required ....................................................................................................................................................... 64 388-78A-2775 Change in licensee/change of ownership -- Application .................................... 65 388-78A-2777 Change in licensee/change of ownership -- Revised application........................ 65 388-78A-2780 Change in licensee/change of ownership -- Notice to department and residents 65

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388-78A-2783 Change in licensee/change of ownership -- Relinquishment of license.............. 65 388-78A-2785 Change in licensee/change of ownership -- Ninety days notice ......................... 66 388-78A-2787 Change in licensee/change of ownership -- Sixty days notice............................ 66 388-78A-2790 Annual renewal..................................................................................................... 66 388-78A-2800Changes in licensed bed capacity .......................................................................... 66 388-78A-2810 Criteria for increasing licensed bed capacity ....................................................... 66 388-78A-2820 Building requirements and exemptions ................................................................ 66 388-78A-2830 Conversion of licensed nursing homes................................................................. 67 388-78A-2840Licenses for multiple buildings ............................................................................. 68 388-78A-2850 Required reviews of building plans...................................................................... 68 388-78A-2860 Relocation of residents during construction ......................................................... 69 388-78A-2870 Vacant buildings................................................................................................... 69 388-78A-2880 Changing use of rooms......................................................................................... 70 388-78A-2890 Time frame for approval....................................................................................... 70 388-78A-2900 Retention of approved construction documents ................................................... 70 388-78A-2910 Applicable building codes .................................................................................... 70 388-78A-2920 Area for nursing supplies and equipment............................................................. 71 388-78A-2930 Communication system ........................................................................................ 71 388-78A-2940 Two-way intercom systems.................................................................................. 72 388-78A-2950 Water supply......................................................................................................... 72 388-78A-2960 Sewage and liquid waste disposal ........................................................................ 72 388-78A-2970 Garbage and refuse disposal................................................................................. 73 388-78A-2980 Lighting ................................................................................................................ 73 388-78A-2990 Heating-cooling -- Temperature.......................................................................... 73 388-78A-3000 Ventilation ............................................................................................................ 74 388-78A-3010 Resident room -- Room furnishings-storage ....................................................... 74 388-78A-3020 Calculating floor space. ........................................................................................ 76 388-78A-3030 Toilet rooms and bathrooms................................................................................. 76 388-78A-3040 Laundry ................................................................................................................ 78 388-78A-3050 Day rooms ............................................................................................................ 79 388-78A-3060 Storage space ........................................................................................................ 79 388-78A-3070 Stairs -- Ramps.................................................................................................... 79 388-78A-3080 Guardrails -- Handrails........................................................................................ 79

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388-78A-3090 Maintenance and housekeeping............................................................................ 79 388-78A-3100 Safe storage of supplies and equipment ............................................................... 80 388-78A-3110 Areas for cleaning and storing soiled equipment, supplies and laundry .............. 80 388-78A-3120 Areas for handling and storing clean supplies and equipment ............................. 81 388-78A-3130 Plant restrictions ................................................................................................... 81 388-78A-3140 Responsibilities during inspections ...................................................................... 81 388-78A-3150 Statements of deficiencies .................................................................................... 81 388-78A-3152 Plan of correction -- Required............................................................................. 82 388-78A-3160 Authorized enforcement remedies........................................................................ 82 388-78A-3170 Circumstances resulting in enforcement remedies ............................................... 83 388-78A-3180 Required enforcement remedies ........................................................................... 84 388-78A-3190 Denial, suspension, revocation, or nonrenewal of license statutorily required .... 85 388-78A-3200 Progression of enforcement remedies .................................................................. 85 388-78A-3210 Informal dispute resolution .................................................................................. 86 388-78A-3220 Appeal rights ........................................................................................................ 86 388-78A-3230 Fees....................................................................................................................... 86 388-78A-3390 Resident protection program -- Individual defined............................................. 86 388-78A-3400 Investigation of reports......................................................................................... 87 388-78A-3410 Resident protection program -- Notice to the individual of preliminary finding 87 388-78A-3420 Resident protection program -- Notice to others of preliminary findings........... 87 388-78A-3430 Resident protection program -- Disputing a preliminary finding ....................... 87 388-78A-3440 Hearing procedures to dispute preliminary finding.............................................. 88 388-78A-3450 Resident protection program -- Finalizing a preliminary finding ....................... 88 388-78A-3460 Resident protection program -- Appeal of initial order....................................... 88 388-78A-3470 Resident protection program -- Reporting final findings.................................... 88 388-78A-3480 Resident protection program -- Disclosure of investigative and finding information.................................................................................................................................... 89 388-78A-4000 Notice ? Service complete.................................................................................... 89 388-78A-4010 Notice -- Proof of service.................................................................................... 89

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